Diagnostic hysteroscopy is a better method for diagnosis and management of abnormal uterine bleeding than traditional methods – An Indian perspective

Biswas D, Kanniga R, Ratnani R, Ray R

Pdf Page Numbers :- 65-70

Debarati Biswas¹, Rohini Kanniga¹, Rekha Ratnani¹ and Rubik Ray^2,*

¹Department of Obstetrics & Gynecology, Shri Shankaracharya Institute of Medical Sciences, Bhilai, Junwani, Chhattisgarh 490020, India

²All India Institute of Medical Sciences Raipur, Chhattisgarh 492099, India

*Corresponding author: Dr. Rubik Ray, All India Institute of Medical Sciences Raipur, Chhattisgarh 492099, India. Mobile: +91 9804659199; Email: rubikray22@outlook.com

Received 15 February 2022; Revised 17 March 2022; Accepted 24 March 2022; Published 31 March 2022

Citation: Biswas D, Kanniga R, Ratnani R, Ray R. Diagnostic hysteroscopy is a better method for diagnosis and management of abnormal uterine bleeding than traditional methods – An Indian perspective. J Med Sci Res. 2022; 10(2):65-70. DOI: http://dx.doi.org/10.17727/JMSR.2022/10-13

Copyright: © 2022 Biswas D et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

Introduction: Abnormal uterine bleeding (AUB) is one of the common problems affecting at least one fourth women in reproductive age group. Currently transabdominal and transvaginal sonography is the most commonly used primary screening modality, whereas uterine dilatation and curettage (D&C) is most the commonly used technique for diagnosis and obtain uterine biopsy. However they have various disadvantages. Diagnostic hysteroscopy and biopsy is gradually emerging as the gold standard for AUB. This study evaluates the role of hysteroscopy in diagnosing various intrauterine pathologies.

Materials and methods: This study was a hospital record based retrospective observational study. Data of 172 patients who underwent hysteroscopy for AUB were included and hysteroscopic diagnosis was compared with final histopathology to find out the sensitivity, specificity and positive predictive value of hysteroscopy for diagnosing various common intrauterine pathology.

Results: Results show that hysteroscopy has high sensitivity and specificity for diagnosis of intrauterine pathology. The study results are in concordance with the findings in few other similar studies.

Conclusion: The authors recommend preferring use of this technique over traditional D&C for both diagnostic and therapeutic indications in AUB.

Keywords: metrorrhagia, hysteroscopy; uterine; dilatation; curettage